Resp & Qualifications. PURPOSE. CareFirst is undertaking a digital transformation which requires enterprise agility paired with the retooling of our technology stack to speed delivery and expand our reach. The IT Core Technology Services organization is leading this charge by advancing our operating model across the organization. To drive this transformation, the Project Coordinator supports all team-wide activities related to strategic planning,...
Salary Range Disclaimer. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typica...
Resp & Qualifications. PURPOSE. The Care Management Supervisor supervises, directs and coordinates the activities of Care Managers. Develops and reviews Care Management standards, program criteria, policies, and procedures to ensure quality of care, manage health care costs. Note. We are looking for an experienced people leader in the Baltimore/Washington DC metropolitan areas who is willing and able to work in a hybrid model. The incumbent will ...
Resp & Qualifications. PURPOSE. Manages end-to-end oversight of custom (ie.Domestic) network development in support of national account sales. The Program Manager will work across two high profile divisions driving membership growth through network implementation with a focus on client satisfaction. The Program Manager will be on the Value and Sales Enablement team in Health Services Division and work directly with the Account Executives and Cons...
Resp & Qualifications. PURPOSE. The Manager supports the Director of Behavioral Health Services and the CareFirst Mission of providing affordable health insurance and accessible health care to all. The incumbent builds an effective, efficient workforce to support all aspects of the Behavioral Health Services department across the continuum of care settings and clinical programs and services for members. This includes the planning, implementation,...
Resp & Qualifications. PURPOSE. Provides administrative support for a Vice President / SVP. Performs advanced, diversified and confidential duties that may be administrative in nature or project based. Work requires broad and comprehensive experience, skills and a thorough knowledge of organization policies and practices. Prepares correspondence, reports, presentations, etc. Sets up meetings and may act as proxy for superior. Requires sufficient ...
Resp & Qualifications. PURPOSE. Provide a range of communications support from strategic communications planning to execution, including planning events, developing marketing campaigns for those events, and leading other client communications initiatives, including outreach campaigns to drive acceptance of policies and. Draft and edit a variety of communications materials and products, including talking points, leadership communications, marketin...
Resp & Qualifications. PURPOSE. The Member Service I Representative is proficient in routine benefits, claims, and general inquiries. They have a general knowledge of the following: systems, benefits, contracts/products, functions of other departments in the company, standard operating procedures, claims status, enrollment/billing and follow-up to a customer inquiry. ESSENTIAL FUNCTIONS. Answers member inquiries by clarifying desired information....
Resp & Qualifications. PURPOSE. Manages a team of technical engineers that manages daily operations of the department responsible for the design and engineering of the organization's infrastructure. Manages the administration of environments in multiple on-premise data centers, cloud infrastructure as well as disaster recovery. Ensure and maintain availability, performance, security, automation, DevOps, and license compliance of all infrastructur...
Resp & Qualifications. PURPOSE. We are looking for a bilingual care manager (fluent in English and Spanish) to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health ...
Resp & Qualifications. PURPOSE. Facilitates CareFirst's long-term community investments to advance the company's mission to pursue health equity by addressing social determinants of health. Strategically leverages CareFirst's assets, authentically engaging communities, and a diverse set of stakeholders to measurably improve the health, economic, social and/or environmental quality of life in the Region. ESSENTIAL FUNCTIONS. Administers philanthro...
Resp & Qualifications. PURPOSE. The Lead ERP Business Analyst is a hands-on role plays a pivotal role in our organization's Oracle Financials environment, serving as the primary liaison between business stakeholders and technical teams. This individual will lead requirements gathering, analysis, and solution design efforts, ensuring alignment between business needs and technical implementations. Moreover, they will spearhead the transition effort...
